Green J, Katz S, Phillips G, Bank S, Ilardi C, Hadju E, Siegel F
Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, New York.
Am J Gastroenterol. 1988 Oct;83(10):1150-3.
We report here the use of ultrasound-guided percutaneous fine needle aspiration gastric biopsies in three patients with endoscopically negative biopsies. Two men, ages 60 and 64, and one woman, age 64, with signs and symptoms of weight loss, abdominal pain, and early satiety, had barium contrast studies suggestive of thickened gastric walls of the antrum and cardia, yet multiple endoscopic biopsies were negative for malignancy. Using real time sector B-scan ultrasonography, percutaneous fine needle aspiration biopsy retrieved signet cell carcinomatous cytologic material in all three patients. No complications were noted. In patients with clinical and radiographic findings compatible with an infiltrative process but negative endoscopic biopsies, in whom sonography can identify a thickened stomach wall, we suggest that percutaneous fine needle aspiration biopsy be attempted.
我们在此报告对3例内镜活检呈阴性的患者进行超声引导下经皮细针穿刺胃活检的情况。2名男性，年龄分别为60岁和64岁，1名女性，年龄64岁，有体重减轻、腹痛和早饱的体征及症状，钡剂造影检查提示胃窦和贲门胃壁增厚，但多次内镜活检均未发现恶性肿瘤。使用实时扇形B超，经皮细针穿刺活检在所有3例患者中均获取到印戒细胞癌的细胞学材料。未观察到并发症。对于临床和影像学表现符合浸润性病变但内镜活检阴性、超声可识别胃壁增厚的患者，我们建议尝试进行经皮细针穿刺活检。
